How much rates vary
Facilitymedian $102 · 10th to 90th $55 to $209Professionalmedian $117 · 10th to 90th $43 to $309
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $102.33 | Facility | None | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $21.38 | $21.38 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $57.54 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $123.03 | Facility | None | $48.98 | $95.50 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $114.82 Typical High $316.23 | Professional | None (both parts) | $38.02 | $114.82 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $30.90 Typical High $81.28 | Professional | 26 · Professional part | $10.72 | $30.90 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $61.66 Typical High $218.78 | Professional | TC · Technical part | $30.90 | $61.66 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $151.36 Typical High $288.40 | Facility | None | $69.18 | $151.36 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $91.20 Typical High $501.19 | Professional | None (both parts) | $35.48 | $91.20 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $26.92 Typical High $125.89 | Professional | 26 · Professional part | $12.59 | $26.92 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $58.88 Typical High $371.54 | Professional | TC · Technical part | $22.39 | $58.88 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $660.69 | Professional | None | $117.49 | $165.96 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $35.48 | $131.83 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $363.08 | Professional | None (both parts) | $69.18 | $117.49 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $20.42 | $33.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $269.15 | Professional | TC · Technical part | $48.98 | $83.18 | $269.15 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $15.85 | $20.42 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 30th of 51
$112
AK $269AL $58.88
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.